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Retired NBME 24 Answers

nbme24/Block 3/Question#31 (reveal difficulty score)
A 65-year-old man is brought to the emergency ...
Systemic vascular resistance: increased;
Pulmonary vascular resistance: decreased;
Pulmonary capillary wedge pressure: increased 🔍 / 📺 / 🌳 / 📖
tags:

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 +21  upvote downvote
submitted by ∗hungrybox(1277)
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I yllare ’itddn dansrnudte tshi iuonsqte vene faetr aiendrg lal eth wsnrsae ereh so I ldmeeai rD. denlKuab (teh e!xt)erp

se’rHe twha eh :asid

sTih si a csae fo tacue ehart relfaui fionlwlgo an uecta shimceic etevn ST( einvtolea in atiorren )del.as VSR esnrcasei cueeasb of umaoounlrerh cvo,tiiatna hiwhc lepsh ot timnnaai B.P PPWC srecansie suaebec ceuat HF asusce bolod to bkca pu oint teh monplyuar cuit.nlacori nIerdesac rumanoylp odblo ouveml aescus lla eht myrualnpo prsseurse to .rnciseae RVP EECRDESSA bsaeceu het opanmruly uslratvceau sha a yerv ghhi eica,mocnpl adn oerrefeht yaepsivls tinssdde ni eesnpors ot ansciere ve.uoml sihT sapesiv onsisisnde saeecrdse hte VRP.

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motherhen  I thutgho ni iocadirngec ,khsoc PWCP acn be eednicars or eeasdcrde dipndngee no fi teh boldo si ckbaign up in the usnlg H)F(L ro byod F()R.H anC eonomes fycailr how ew nwko hichw si nehppgnai r?hee +1
motherhen  *PPCW +
jsanmiguel415  eyTh say s'it an troeina"r MSETI" hiwhc ot em eatmn 3V, 4V kaa A,DL hciwh ulspieps het tlef relecvint so ndaercsie .CPPW If PWPC asw dacdeseer it oluwd eman gtirh leeintcvr si dieusrptd ihwch si oerm RAC nad lowud be I,I ,II AVF or na rniioref sdeal +4



 +14  upvote downvote
submitted by ∗yb_26(315)
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My elpims grnsuanidtdne is thta spt' harte cttynroticila si eedadcsre eud to MI =&;tg reath ca'tn mpup a olt fo obdlo &=;tg dseaniecr puakbc fowl onti loyaprumn uaucrtveals ;tg&= eeicrdnas WPPC.

Mreo dlobo ni plnramyou ustaurcvlea g&;t= they wlli lieatd ni deror to tjus eepk all hetes obdlo g=&t; ecaesrded ynaolumrp rcalsvau aeetcrisns

asDrceeed airdcca opttuu t=;&g ilehraperp ovsiarcctnnotiso ;&g=t idnresace tmisysce sucvaalr iareencsst

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susyars  Teh ostqnieu ssya “ST oenileavt ni eht trraieon e“sdal s,o in semo ayw I aws gnhitnik fo eht toms neraorti aprt fo eth ehart hwhci si eht igtrh ricleetvn, dna ont eht tlfe .noe +4
makinallkindzofgainz  Aneirrto SITME = TS lnaseeotiv in ,3V 4V ihhwc is puesdlip ltsymo by het .LDA RV si yomlst eudpslip by eht R,CA wchhi oudwl owhs pu on an KGE ithw mehcscii necshag in ,II II,I and vaF +7
qiss  Bwt esneidrca PCPW isctdneai ncsareedi oldob ni het left mtria,u ont rinsesaecyl snaerdice loobd ni teh yourpnlma sultrcaveua see rhee. +



 +6  upvote downvote
submitted by ∗keycompany(351)
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dsrnwAee my nwo tsqoieu.n Inaeedrcs etssrs romf a TESIM illw ciatevta het isyetchptam orvnesu msytes -- ruPolnmya laat.odnsioiv

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pathogen7  tsJu to dad, OCICHNR thrae auierfl si a cause fo olrpnyuam inyhee.rptosn So in eht ecuat ,igetstn rypolanum edaem aleds ot rscdeedae ,VPR wehli ni teh ccrinoh sn,tgeti ti nca edal ot dienrcaes V,RP I ?ihtnk +
hungrybox  siTh 'etdsno ekam nse.es vacitAitgn the atmehyipsct surveon etmyss wludo secau abinoholctidron ia(v )2β but t'is naceulr ot me terehwh ti udowl ocrsittcn teh bolod seelvss v(ia -)α1 ro ldeita htem (aiv .β2) +1



 +2  upvote downvote
submitted by ∗mousie(272)
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fi ryou OC laslf ... l'utdnow ttha cause sncotiocinvrasot in eht glun latruev?acus yaoxiph iudednc onovnccso?aitirst

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ug123  yM kaet no -sh--iH-sti pnsartiioser are -ia-2/-mihtnhg2ht llwi uaces 20c --aohst-swuo ayclualt ungl sah hgih xuynlo-rne--ygomap laid.nosoitva oDnt ownk if tis irgh.t +5
usmleuser007  yM anrntidgusned si atht eth myaorlnpu uinicrtcola nagsehc yerv ettill ni trsme fo na uteca .IM It is cb/ pnumarlyo unlioircact ash a tlo rmeo moor ot ilfl with loobd humc ilek the pneels ni emrst of oblod at.oicmuuanlc thWi reighh veolum fo blodo in mulnaropy irtin,lccauo emor dolob evsssle rae lbae to eb udtecreir alyecspil het x.pea With eomr reucrdite blodo seevlss = edeucdr espsrure dt/ roucntliiac in rapllela +



 +1  upvote downvote
submitted by ∗usmleuser007(464)
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yM srddnanunigte si atth teh ruanompyl ailuoitrcnc sneahcg yver ltliet in srtme fo na utaec I.M

tI is bc/ uamlrypno turlaciiocn ash a tol emor romo ot flil wiht lobdo uchm ikle eht psenle in rmtes of dbloo ntcoa.umlcaiu

tWih hrgeih emvulo of dolob ni myoprunla aciritnu,loc orem dlobo vessesl rea elab to be erdituerc yascilple eht p.aex

With omre eteuircdr loobd eelssvs = dceedru sereurps /dt ucliotanirc in plealarl

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sheska  ,yes in odsarb adn bydone he xalnipe .shit larelavoertx evssl=se sretriea dan nsvei, aovleilarnart lsr=alsss.ealiveeicp apilcsiarle llwi insecear sneireatcs uebecas ilwl heva omre lobdo ofrm kupcab fo the flte taiumr nda llwi get gdudesm g;&=t seneriac WPCP esetarri nad envsi itwh more olobd llwi poen eorm adn tuhs dcsreeae uoamplryn vuacrsla iae.rstsecn +



 +1  upvote downvote
submitted by diplococci(1)
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I saw ofusedcn bueasec UW 92108 says payroulnm trraye toscylsi rrspusee wlli be cnaerised ot naiatmin afrorwd mvetenom fo l.oodb Hwo sdeo stih not adle ot amyrlunpo rcuvalsa srnetsecai bneig iscedarne?

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boostcap23  eesuPsrr doste'n rsysilnacee leuaq daneisecr raulasvc .taeniscres ynmlaruoP scestanrie oulnrgtiea iamlny isaneresc ni raesa of oiyhaxp, adn eseedarsc ni e-lgaeodlywtenx 'aesar to dnse lobdo to ellw alvdintete arase, itognnh to od tihw an uatce .MI nI tcaf in IM trehe is doliosnvaait fo apacil cipiasllear and the /VQ traoi liwl haacrppo 1 ot cammcoatedo eth aextr loo.db nI tihs t,eapnti uyo cna ees his emcysist oodlb usersrpe is lwo yet ihs tiesycsm alracsuv itrenesacs si ghhi (due to yepahcstitm otscntconiri of ssveesl in seepnsro to lwo .CO) I tsuj httguoh of it ilek owh in alrmno tseginr ettsa littnnevaoi is daswte at the paex os in a uvmoel oedelvador taets taht axtre lbdoo loudc go up ot het pexa. +1



 +1  upvote downvote
submitted by ∗keycompany(351)
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Cna yeosobdm ohw anrdesdunt why PVR eseedarsc whit a dtLed-eifS iraftcn laeeps enlnthieg me. I lwduo loas peteicpaar ti if uoy olcud lreate ti to hirgt seddi aehrt ieulfra oto .(e.i how lowdu ti )ngecha.

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sajaqua1  I elviebe ahtt poynam'yckes anrwse ocsme teh .ecslsot nI na IM, rsoniecd ti sa oeagccirdni o.cskh heT rhaet si a pmp,u and it is igilfan to oevm olbod tuo fo teh aterh and onti atrsuealvcu. hsiT si hwy CPPW esarecisn. esuBace of ufetifiincns o,ututp teh ybdo hsa a taepmyiscth es.srpeno heT occhmsinlaeeat tnhe easuc rtiivsootcnocsna ni reiparelhp suaavrculte to ekpe bdolo rusersep up and ncoteinu lfow, gnleida to iceearnds SVR. eelnaMw,hi het phatictsemy spnoeers scesua daolniaitvos in the sn;lgu tshi luodw be na rtippoperaa aueultytoargor ensrep,os cueasbe het obdy is tyring to peke up eht oflw of nxgeyo hotrtgouuh teh yet.ssm hisT seedecasr /gmRwi.1t.lp e Psr7v/ol8hwct/p5.na5cV :/M.isnw/icbnh4P/C.tm 5 Is a ttrepy good lecitar on htis. fO ucores eht ngiibdn fo oetntiashlmccea sneghca dnpendegi on anoiusratt dna eth ssrpoeen si nto ceftylerp rusdontoe.d +13
usmleuser007  yM nigesnddntrau is thta teh morlpnuay otulriancic cenahsg veyr tlitel ni rmset of na tceau I.M It is /bc lypronmau aconiriluct sha a tol remo ormo to flli itwh lodbo cuhm ilke eht nepels ni tmers of odolb ua acutmiWtno.hlic geirhh lomuev of dlboo ni palmnyour lauriino,ctc rome odblo eslevss rea ealb to be ecrdureit pceilslay eht .pxae Wthi remo trieuerdc boodl eeslssv = curdeed ursseerp dt/ notrcluiica in eall.pral +2



 +0  upvote downvote
submitted by ∗kevintkim4(4)
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reotrnAi deal MI dnliage ot acriioegdcn ckhos htiw dadesecre LV iaocc.tiltrtyn

RVS rises in eanigrodcic hoskc as smnotapeoycr rneoesps ot wlo O.C CPWP sersi eeascub in riontrae IM rs'htee rsdecadee cttaiilyntroc dan doblo ksbac up iotn LA.

Ttha ealsve oen erwans noipot of hhgi SVR nad hhig PCPW nad ouy d'not enve vaeh to ktihn obtua PRV );

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 +0  upvote downvote
submitted by ∗jurrutia(47)
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s'Want resu utaob PR,V ubt RVS adn WPCP efd og up. tTha lyno asveel 1 anwsr.e

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 -2  upvote downvote
submitted by louisville(12)
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reAs:nw VSR secradien; RVP ecadrdse;e CWPP casee.nidr

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kcyanide101  EASEPL :NTEO fI hsit sioeuqtn aws na MI ni the CR,A teh CPWP is rdu.eedc +



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